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ACOR©®DATE CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 12/6/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Guided Insurance Solutions, LLC 4904 Eisenhower Blvd Ste 350 Tampa FL 33634 CONTACT Certificate Department PHONE FAX N : 855-447-2873 A/c No : ADDRESS: Certificates uidedsolutions.com INSURERS AFFORDING COVERAGE NAIC# Y INSURER A: Western World Insurance 13196 NPP8712165 INSURED SLEICON-01 Sleiman Construction LLC INSURER e : Evanston Insurance Company 35378 EACH OCCURRENCE $_1_,00.0,000 7878 SW 106th Circle INSURER C: INSURER D: Miami FL 33173 INSURER E: INSURER F: DAMAGE TO RENTED PREMISES E. occurrence $100,000 COVERAGES CERTIFICATE NUMBER: 869926501 REVISION NUMRER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL D SUER WVD POLICYNUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y NPP8712165 5/5/2022 5/5/2023 EACH OCCURRENCE $_1_,00.0,000 CLAIMS -MADE ®OCCUR DAMAGE TO RENTED PREMISES E. occurrence $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ] JE� � LOC PRODUCTS - COMPlGP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY NPP8712165 5/5/2022 5/5/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON•OWNED AUTOS ONLY AUTOS ONLY PROPERacciTYDAMAGE $ de Per nt $ B UMBRELLA LIAB X OCCUR EZXS30G8710 1215/2022 12/5/2023 EACH OCCURRENCE $ 3,000,000 X EXCESS LIAR ri CLAIMS•MADE AGGREGATE $ 31000,000 DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ ANYPROPRIETORfPARTNERIEXECUTIVEE-1 OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE. EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE . POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more Space Is required) Project Name: Renovations to the William 'Bill' Lone Restroom Facility" Project Number: ITB 22-09-02 Certificate Holder Is included as Additional Insured with respect to General Liability if required by written contract and subject t0 terms, conditions and exclusions of the policy. A Waiver of Subrogation in favor of the Certificate Holder applies to General Liability if required by written contract, and subject to terms, conditions, and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE CITY OF SUNNY ISLES BEACH ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Ave, AUTHORIZED REPRESENTATIVE V 3rd Floor Sunny Isles Beach FL 33160 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD